Tolchicine 600mcg Tablet

Colchicine 600mcg tablets with reliable product information and pharmacy support.

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Key Information

What is Tolchicine 600mcg Tablet?

What is Tolchicine 600mcg Tablet?

  • Tolchicine 600mcg Tablet is an oral tablet listed as containing colchicine 600mcg (0.6mg) per tablet.
  • Check the product packaging for the active ingredient, strength, manufacturer and pack size before purchase.
  • Before placing your order, review the product details on DoctorOnCall and read the product leaflet supplied with the medicine.
  • Follow the instructions on the packaging and use the product only as directed.
Is this strength right for me?

Is this strength right for me?

  • Check the strength printed on the packaging to make sure it matches the product you selected.
  • Always follow the directions provided with the medicine, as the appropriate dose and frequency depend on the product instructions.
  • Colchicine requires careful dosing because taking too much can cause serious toxicity. Read the warnings and precautions on the leaflet before use.
  • If you have kidney or liver problems, are pregnant or breastfeeding, or take other medicines or supplements, ask a pharmacist whether you need additional precautions before taking the product.
Delivery, packaging and ordering

Delivery, packaging and ordering

  • Select the product and check the available pack size and current listing details before placing your order.
  • Review the product information and follow the ordering instructions on DoctorOnCall.
  • When your parcel arrives, check the product name, strength, batch number, expiry date and packaging condition.
  • If the item differs from your order or the packaging appears damaged, contact DoctorOnCall customer support for assistance.
Side effects, safety and when to seek help

Side effects, safety and when to seek help

  • Colchicine may cause side effects such as nausea, vomiting, diarrhoea or abdominal discomfort. Serious reactions can occur if too much is taken or if the medicine interacts with certain other products.
  • Read the leaflet carefully and check the warnings about medicine interactions. If you take regular medicines or supplements, a pharmacist can help you check whether any additional precautions are needed.
  • Seek medical attention promptly if you experience persistent vomiting or diarrhoea, unusual bruising or bleeding, or significant muscle weakness.
  • If you suspect an overdose, seek urgent medical attention even if you feel well. Difficulty breathing, collapse or other severe symptoms require emergency medical care.

How to take your Tolchicine 600mcg Tablet

  1. Step 1

    Read the product instructions. Check the leaflet and packaging before taking the tablet. Make sure you understand the stated dose, timing and precautions.

  2. Step 2

    Follow the stated directions. Take the medicine only as directed in the product instructions. Do not take more than recommended or take additional tablets without checking the instructions.

  3. Step 3

    Take the tablet as directed. Swallow it with water and follow the instructions supplied with the product. Do not crush, split or chew the tablet unless the leaflet confirms that this is appropriate.

  4. Step 4

    Check for interactions. Read the warnings about other medicines, vitamins and supplements. If you suspect you have taken too much, seek urgent medical attention.

Delivery & Returns

  • Malaysia-wide delivery
  • No prescription needed
  • Licensed pharmacy
  • Doctor consultation

If your order arrives damaged

Please do not take the tablets if the box is damaged, the blister strip is open or torn, or the packaging appears to have been tampered with.

  • Check that the product name, strength and pack quantity match your order.
  • Take clear photographs of the parcel, delivery label and product packaging.
  • Contact DoctorOnCall customer support through WhatsApp and provide your order details and photographs.
  • Keep the product and packaging until the team advises you on the next steps.

Once the issue has been reviewed, a replacement or another resolution may be offered in accordance with the applicable policy.

Returns policy

For safety reasons, medicines may not be eligible for return or exchange once they have left the pharmacy, except where the applicable policy allows it for a verified delivery issue.

If you receive an incorrect, damaged or incomplete order, contact customer support within 24 hours of delivery. Provide your order details and photographs to help the team review the issue. Do not take the product if its packaging is damaged or its quality is in question.

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Dosage

Dosing for an acute gout attack is typically a higher initial dose followed by a smaller dose some hours later, with the total dose over the following days kept low due to colchicine’s narrow safety margin; for gout prevention, a lower once-daily or alternate-day dose may be prescribed instead. Your doctor will individualise the exact dose and frequency based on your kidney function, age, other medicines and gout history, so do not adjust the dose yourself.

Shelf Life

Tolchicine 600mcg Tablet is generally stable for up to 2 to 3 years from the date of manufacture when unopened and stored correctly; always check the expiry date printed on the blister strip and outer packaging and do not use beyond this date.

Storage Instructions

Do

  • Store the tablets according to the instructions on the packaging or leaflet.
  • Keep them in their original packaging until needed.
  • Store the medicine away from excessive heat, moisture and direct sunlight.
  • Keep it out of reach of children and pets.
  • Check the expiry date and packaging condition before use.

Don't

  • Don’t leave the medicine in a hot car, bathroom or other damp area.
  • Don’t transfer tablets into unlabelled containers.
  • Don’t take tablets that are expired, damaged or have changed in appearance.
  • Don’t share your medicine with anyone else.

Side Effects

Tolchicine 600mcg Tablet may cause gastrointestinal symptoms, muscle problems and other adverse reactions. The risk can be higher in certain circumstances, including prolonged treatment or reduced kidney function. Some reactions require prompt medical assessment.

Digestive Symptoms

Nausea, vomiting, abdominal pain and diarrhoea may occur. These can be early signs of colchicine toxicity, particularly if symptoms are severe or develop after a dose increase.

Muscle Weakness or Pain

Muscle pain or weakness may develop, particularly with prolonged treatment or in people with reduced kidney function. New or worsening symptoms should be assessed by a healthcare professional.

Numbness or Tingling

Prolonged treatment may be associated with peripheral neuropathy, which can cause numbness, tingling or unusual sensations in the fingers or toes.

Hair Loss

Hair loss may occur during long-term treatment. Inform your healthcare professional if this develops or becomes concerning.

Serious Warning: Bone Marrow Suppression

Rarely, colchicine can affect bone marrow function and reduce blood cell counts. Possible warning signs include:

  • Unusual bruising or bleeding.
  • Frequent or recurrent infections.
  • Unusual weakness or persistent fatigue.

Seek prompt medical assessment if these symptoms occur.

Emergency Warning: Severe Toxicity

Taking more colchicine than prescribed can cause severe, potentially life-threatening poisoning affecting multiple organs. The risk may also increase with certain medicine interactions or impaired kidney or liver function.

  • Never exceed the prescribed dose.
  • Seek emergency medical help immediately if an overdose is suspected, even if symptoms have not yet developed.

Do not change the dose or stop long-term treatment without consulting your healthcare professional, unless emergency medical advice directs otherwise. This information does not replace the official product leaflet or individual medical advice.

Contraindications

  • Severe kidney or liver impairment, unless the dose has been specifically adjusted by a doctor
  • Known hypersensitivity to colchicine or any ingredient in the tablet
  • Blood disorders such as significant bone marrow suppression
  • Concurrent use of certain strong CYP3A4 or P-glycoprotein inhibitor medicines in patients with kidney or liver impairment, due to a serious risk of colchicine toxicity
  • Pregnancy or breastfeeding, unless specifically advised as necessary and safe by your doctor

Drug / Food Interactions

  • Certain antibiotics (such as clarithromycin and erythromycin) and antifungal medicines (such as ketoconazole) can significantly raise colchicine levels in the blood and increase toxicity risk
  • Some cholesterol-lowering medicines (statins, fibrates) combined with colchicine may increase the risk of muscle-related side effects
  • Ciclosporin and certain HIV protease inhibitors can markedly increase colchicine blood levels and generally should not be combined without specific medical guidance
  • Grapefruit and grapefruit juice can increase colchicine levels and should generally be avoided during treatment
  • Always tell your doctor and pharmacist about every other medicine and supplement you are taking before starting colchicine

Quick Tips

  • Take the medicine as early as possible after a gout attack begins for the best chance of quick relief
  • Never exceed the dose your doctor has prescribed, even if pain persists
  • Stop and contact your doctor promptly if severe vomiting, diarrhoea, muscle weakness, numbness, or unusual bruising or bleeding occurs
  • Avoid grapefruit juice and check with your pharmacist before starting any new medicine, including over-the-counter products
  • Stay well hydrated and follow any dietary advice given for gout, such as limiting alcohol and purine-rich foods
  • Keep regular follow-up appointments if colchicine is prescribed long-term for gout prevention

Ingredients / Active Ingredients

  • Colchicine 600mcg (active ingredient)
  • Standard pharmaceutical-grade tablet excipients typical of colchicine tablets (binders, fillers and coating agents), as listed on the product packaging

Safety Advice

Pregnancy

Not Advisable

Use during pregnancy is generally not recommended unless absolutely necessary.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Relevant Information

Colchicine has one of the narrowest safety margins of any commonly prescribed oral medicine, meaning the difference between an effective dose and a dangerous one is small, so it should never be taken more frequently or at a higher dose than prescribed, and any leftover tablets from a previous attack should not be used without checking with your doctor first. People with reduced kidney function, older adults, and those taking multiple other medicines are at higher risk of toxicity and usually need closer monitoring and dose adjustment by their prescribing doctor through DoctorOnCall.

How to buy

Go to the DoctorOnCall website

Go to the DoctorOnCall website

Visit DoctorOnCall and search for Tolchicine 600mcg Tablet. Check the product details, available pack size and current availability before proceeding.

Place your order

Place your order

Select your preferred pack size, review your cart and enter your delivery details. Follow the checkout instructions to complete your order.

Pharmacy processing

Pharmacy processing

Your order will be processed in accordance with the pharmacy’s procedures and applicable supply requirements. Check your order confirmation for updates.

Receive your delivery

Receive your delivery

When your parcel arrives, check that the packaging is intact and that the product name, strength, batch number and expiry date match your order. Read the accompanying leaflet before use.

Frequently Asked Questions

Product Specifications

ClassificationNon-prescription
Ingredients / Active IngredientsColchicine
Pack SizeRefer to the current product listing
BrandTolchicine
ManufacturerRefer to the product packaging
Strength600mcg (0.6mg) per tablet, subject to label confirmation
DosageFollow the instructions supplied with the product
Shelf LifeRefer to the expiry date printed on the packaging
Dosage FormTablet
RouteOral, subject to product leaflet confirmation
FrequencyFollow the product instructions
StorageFollow the instructions printed on the packaging
ExcipientsRefer to the package leaflet

Customer Reviews

4.8 · 10 reviews
  • Verified purchase

    Kavitha Devi · Purchased: 10s

    Barang yang dibeli selamat diterima....t.q

  • Verified purchase

    Ravi Kumar · Purchased: 10s

    still in the trial process, still not sure of its effectiveness

  • Verified purchase

    Wong Jia Hui · Purchased: 10s

    Received on good condition. Thanks seller.

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Important Medical Information

💊 Recommended Dosage:

Dosing for an acute gout attack is typically a higher initial dose followed by a smaller dose some hours later, with the total dose over the following days kept low due to colchicine’s narrow safety margin; for gout prevention, a lower once-daily or alternate-day dose may be prescribed instead. Your doctor will individualise the exact dose and frequency based on your kidney function, age, other medicines and gout history, so do not adjust the dose yourself.

🛑 Contraindications (Do not use if):
  • Severe kidney or liver impairment, unless the dose has been specifically adjusted by a doctor
  • Known hypersensitivity to colchicine or any ingredient in the tablet
  • Blood disorders such as significant bone marrow suppression
  • Concurrent use of certain strong CYP3A4 or P-glycoprotein inhibitor medicines in patients with kidney or liver impairment, due to a serious risk of colchicine toxicity
  • Pregnancy or breastfeeding, unless specifically advised as necessary and safe by your doctor
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Nausea
  • Diarrhea
  • Vomiting
  • Abdominal pain
  • Fatigue
  • Headache
  • Muscle weakness (in prolonged use or high doses)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.